Kathy S Kuykendall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3139123 Issued in WI

Practice address

1500 W Main Street
Ste 300B
Sun Prairie, WI 53590

Phone

(608) 825-6711

Fax

(608) 834-6499

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Counseling, LTD

  • Clinical Social Worker
  • Sun Prairie, WI
  • NPI 1235263427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851475867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W MAIN STREET",
            "address_2": "STE 300B",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-825-6711",
            "fax_number": "608-834-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W MAIN STREET",
            "address_2": "STE 300B",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-825-6711",
            "fax_number": "608-834-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "KATHY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3139123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39266300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen J Krueger, LPN
• Laura Shaw Kuhn, M.D.
• Megan E Kuikman, MD
• Jenna Kunz, PHARMD
• David A Kuykendall, LCSW CADC III CCS
• L & D Enterprises, Inc.
• Katelyn Danielle Labinski, OTR
• Victoria Lachapelle, LPN
• Lahman Chiropractic LLC
• Stephanie Landis, PT, DPT

• Clinical Social Worker in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.